
Membership Application Form
Please enrol me/us as a: Society/Group
* Individual/Joint * Overseas * Institutional member
(* delete as appropriate)
I/we enclose a cheque/P.O. for £..................as subscription for the current subscription year(made payable to ANLHS)
NAME (capitals please)........................................................................................................
ADDRESS (capitals please).......................................................................................................................................................................
...........................................................................................................................................................POSTCODE..................................
SIGNATURE ........................................................................ OFFICE (where relevant eg Secretary)........................................................
NAME OF SOCIETY/INSTITUTION (where relevant)...............................................................................................................................
Please PRINT OUT then complete this form, and send with your payment to:
Mr. M. Thompson, 21, Melrose Avenue, Seaton Delaval, Northumberland. NE25 OJR.